Lapeer Pediatrics, P.c., NPI 1265623276
Primary Care Clinic/Center in Lapeer, MI, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1265623276 |
| NPI Entity Type | Organization |
| Provider Name | Lapeer Pediatrics, P.c. |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 1083 Suncrest Dr, Suite-a, Lapeer, MI, US |
| Provider Mailing Address | 1083 Suncrest Dr, Suite-a, Lapeer, MI, US, 484464421 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | DR. M.D. Mohammad Al Harastani |
| Official Position | PRESIDENT |
| Phone | 810-245-9700 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Primary Care Clinic/Center |
| Classification | |
| Group | |
| License No. | 4301067273 |
| License State | MI |
| Description | Definition to come... |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 350D410030 | MI | BLUE CARE NETWORK | 01 |
| 526 | MI | PPOM | 01 |
| 1026494 | MI | MCLAREN HEALTH PLAN | 01 |
| 41A87114 | MI | HEALTH PLUS | 01 |
| 8572330001 | MI | CIGNA | 01 |
| F76263 | MI | HEALTH ALLIANCE PLAN | 01 |
| 0P48210 | MEDICARE PTAN NUMBER | 01 | |
| 35-0-44-1237-1 | MI | BCBS | 01 |
| 1026494 | MI | MCLAREN HEALTH ADVANTAGE | 01 |
| 1619968922 | MI | MEDICAID | 05 |
| 5243111 | MI | AETNA | 01 |
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|---|---|---|---|
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MD Bridget Wiater Individual |
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M.D. Ann E Swinford Individual |
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LPC Jonathan Hart Individual |
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DDS, MS Suhaib Alqawasmeh Individual |
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Alexis K Willmore Individual |
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DR. DO, MPH Jimmy Wayne Brandon Individual |
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